| Island Pediatric Dentistry Pc | |
|
1300 Union Tpke Ste 307 New Hyde Park NY 11040-1759 | |
| (646) 409-3753 | |
| (866) 357-0569 |
| Full Name | Island Pediatric Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1300 Union Tpke Ste 307, New Hyde Park, New York |
| Authorized Official Name and Position | Sara H Seo (PRESIDENT) |
| Authorized Official Contact | 6464093753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Pediatric Dentistry Pc 1300 Union Tpke Ste 307 New Hyde Park NY 11040-1759 Ph: () - | Island Pediatric Dentistry Pc 1300 Union Tpke Ste 307 New Hyde Park NY 11040-1759 Ph: (646) 409-3753 |
| NPI Number | 1265876726 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265876726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054536 (New York) | Primary |
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